Tanemoto K, Kuinose M, Kanaoke Y
Department of Cardiovascular Surgery, Iwakuni National Hospital, Japan.
Kyobu Geka. 1994 Sep;47(10):812-4.
In the purpose of reducing the occurrence of postoperative sternal dehiscence, improved technique of closure with supplemental use of polyester tapes was performed. To add to the conventional closure with wires, two polyester tapes were used around the body of sternum through the intercostal spaces just before approximation of sternum. The sternum was firmly fixed at the body and the tapes will prevent cut sternum by the wires and disruption of the wires themselves. In our series of recent 155 cases with this technique of closure, no sternal dehiscence occurred.
为了减少术后胸骨裂开的发生,采用了改良的缝合技术并辅助使用聚酯带。在传统的钢丝缝合基础上,在胸骨接近闭合前,通过肋间间隙在胸骨体周围使用两根聚酯带。胸骨在胸骨体处被牢固固定,聚酯带可防止钢丝切割胸骨以及钢丝本身断裂。在我们最近采用这种缝合技术的155例病例中,未发生胸骨裂开。